DAVID O NELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049760

License Status

NOT RENEWED

Business

First Name

DAVID O

Last Name

NELSON

Suffix

Business Name

DAVID O NELSON MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006